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General NPI Number Information
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NPI Number | 1568934503
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Entity Type | Organization
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Legal Business Name | PLYMALE ASSOCIATES PA
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Dates
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Enumeration Date | 12/31/2018
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 449 FOREST AVE STE 213
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City | PORTLAND
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State | ME
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Zip | 04101-2008
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Country | US
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Telephone | 207-650-8677
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Fax |
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Provider Business Mailing Address
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Address Line | 121 EMERY ST
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City | PORTLAND
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State | ME
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Zip | 04102-3731
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLAIMS MANAGER
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Name | ANGELA GRIFFITHS
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Credential |
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Telephone | 207-767-3696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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